Pediatrics Surgical Admissions and Procedures in Tikur Anbessa Specialized Hospital, Ethiopia: A five-year retrospective study

Amezene Tadesse Robelie, Abay Gossaye, Milliard Derbew

Abstract


Background: Children develop distinct surgical conditions, present unique anesthetics challenges and have special preoperative need. Childhood surgical diseases are as common in the developing world as they are in developed countries. To date there has been limited data published on pediatrics surgery in SSA. In Ethiopia, as in other Sub-Saharan Africa countries, there is insufficient data on pediatric surgical conditions.

 

Methods: This was a retrospective study of pediatrics surgical patients (< 13yrs.) who had undergone surgery in Tikur Anbessa Specialized Hospital(TASH) between September 1, 2012 and August 31, 2017.

 

Results: 4538 pediatrics patients were admitted and had procedures. Age of the patients’ ranges from 12 hours to 13 years with median age of 28.00 months. Out of this neonates accounts for 734 (16.2%), infants were 808(17.8%), 1-5 years 1741(38.4%) and above age of 5 is 1255(27.7%).

M: F ratio, 2.18:1. Out of all cases 2737(60.3%) were emergency and 1801(39.7%) were elective cases. Congenital conditions were the leading indication for admission and procedure. It accounts for 2158 (47.6%) followed by trauma which accounts for 970 (21.4%). Ingested foreign body accounts for 10% of admissions while foreign body aspiration accounts for 7.9% of all surgical admissions.

Conclusion: In this study we found that congenital anomalies are still the most common group of pediatrics condition that requires surgery in our setting.  There is significant increase in number of foreign body ingestions and aspirations compared to previous studies.

Key words: Pediatric surgery, Admissions, Procedures, Ethiopia

 


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References


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